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CO HB1033
Bill
Status
Passed
3/7/2025
Primary Sponsor
Lori Garcia Sander
Click for details
AI Summary
- Third-party insurers must respond to State Department inquiries about Medicaid claims within 60 days by either paying the claim or issuing a written denial
- Claims submitted by the State Department cannot be denied solely based on submission date, claim format, or lack of point-of-sale documentation if filed within 3 years of service
- The State Department has 6 years from claim submission to commence enforcement actions against third parties
- Third parties must accept the State Department's payment of a claim as equivalent to the provider or member having obtained prior authorization for the health-care item or service
- Includes a safety clause declaring the act necessary for immediate preservation of public peace, health, or safety
Legislative Description
Medicaid Third-Party Liability Payments
Health Care & Health Insurance
Last Action
Governor Signed
3/7/2025
Committee Referrals
Health and Human Services1/28/2025
Health and Human Services1/8/2025
Full Bill Text
No bill text available